Organization · Type 2 NPI
PD Revival Medical, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Helena, MT
NPI number
1124764030
Active
Practice location
3130 Saddle Dr Suite 6B
Helena, MT 59601-8644
Mailing address
3130 Saddle Dr, Stuite 6
Helena, MT 59601-8644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Certified Registered Nurse Anesthetist | 367500000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1124764030
PD Revival Medical, PLLC's National Provider Identifier is 1124764030, issued on May 12, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Helena, MT. The record was last updated on Oct 16, 2024.